Active NPI
Ellen Burt Baker, LPC
- Professional Counselor
- Kennesaw, GA
National Provider Identifier
1407277445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004326
- Practice address
- 1275 Shiloh Rd NW
Suite 2770
Kennesaw, GA 30144-7175 - Phone
- (678) 449-9715
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004326 | GA | Primary |
Addresses
Primary practice location
1275 Shiloh Rd NW
Suite 2770
Kennesaw, GA 30144-7175
Mailing address
1275 Shiloh Rd NW
Suite 2770
Kennesaw, GA 30144-7175
Phone (678) 449-9715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004326 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1407277445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 SHILOH RD NW",
"address_2": "SUITE 2770",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447175",
"telephone_number": "678-449-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SHILOH RD NW",
"address_2": "SUITE 2770",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447175",
"telephone_number": "678-449-9715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ELLEN",
"middle_name": "BURT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.